Individual
LISA GAY HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 729-4977
(989) 729-4062
Mailing address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 729-4977
(989) 729-4062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225641
MI
Other
Enumeration date
03/27/2012
Last updated
03/11/2021
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